Division of Welfare and Supportive Services

Official Website: https://dwss.nv.gov

Forms & Documents

Browse all Division of Welfare and Supportive Services forms

1 - 20 of 138 forms

Form Title Topics
Admit/Discharge/Death Notice Medical Programs
Application for Assistance Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF
Application for Assistance Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps)
Application for Assistance Medical Programs
Application for Assistance-Medicaid, MAABD, SNAP Medical Programs
Application for Child Care Assistance Child Care
Application for Child Support Services Child Support
Application for Health Insurance Medical Programs
Application for Health Insurance-Additional Member Medical Programs
Assessment and Documentation of Resources Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps)
Assessment and Documentation of Resources Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF
Assessment and Documentation of Resources Medical Programs
Authorization for Release of Information Medical Programs
Authorization for Release of Information Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps)
Authorization to Release Information Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF
Banking/Loan Activity - Request for Information Medical Programs
Banking/Loan Activity - Request for Information Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps)
Banking/Loan Activity - Request for Information Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF
Benefit Verification Inquiry Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF
Benefit Verification Inquiry Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps)

Contact Information & Office Locations

All 4 contact points

Carson City District Office

Address:
2533 North Carson Street
Suite 200
Carson City, NV 89706-0240

Phone numbers:
  • (775) 684-0800
  • (775) 684-0826 (reschedule)
Fax numbers:
  • (775) 684-0844

Elko / Winnemucca District Office

Address:
1020 Ruby Vista Drive
Suite 101
Elko, NV 89801

Phone numbers:
  • (775) 753-1233
  • (775) 753-1192 (reschedule)
Fax numbers:
  • (775) 777-1601

Ely District Office

Address:
725 Avenue K
Ely, 89301

Phone numbers:
  • (775) 289-1650
  • (775) 289-1650 (reschedule)
Fax numbers:
  • (775) 289-1645

Fallon District Office

Address:
111 Industrial Way
Fallon, NV 89406-3116

Phone numbers:
  • (775) 423-3161
  • (775) 428-0122 (reschedule)
Fax numbers:
  • (775) 423-1450

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